| NPI | 1730576604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 289263) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD466472) |
| 207W00000X Ophthalmology (Licence: MA 1730576604) | |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2021-12-13 |