| NPI | 1588292478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD489270) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA12679900) |
| 207W00000X Ophthalmology (Licence: MI 4301510920) | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-07-01 |