| NPI | 1629074752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI md10368) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 153331) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2019-08-21 |