| NPI | 1639527682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101271864) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D89341) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-10-31 |