| NPI | 1679560221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2019-02060) |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: IL 036.103198) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2021-04-28 |