| NPI | 1639580798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD467062) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 80059) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2021-03-25 |