| NPI | 1639157720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 18817) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD058408L) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2024-03-12 |