| NPI | 1679061113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD490100) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A182502) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2025-07-18 |