| NPI | 1669904918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 93114) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD049236) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-08-31 |