| NPI | 1639799380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD483954) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0095609) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2026-04-09 |