| NPI | 1659828432 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D97851) | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 287243) | 
| Enumeration Date | 2016-09-08 | 
| Last Update Date | 2023-09-26 |