| NPI | 1679767792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A95107) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD433635) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2022-06-06 |