| NPI | 1699759191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD031809E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD031809E) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-07-10 |