| NPI | 1639580798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 00142) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 80059) |
| 207W00000X Ophthalmology (Licence: PA MD467062) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2025-04-10 |