| NPI | 1689894578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101240540) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0070139) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-07-30 |