| NPI | 1689069882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: MI 4301501807) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD466604) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2020-07-22 |