| NPI | 1568404416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 068190) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD425936) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-01-07 |