| NPI | 1740418763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301102842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195462) |
| 207W00000X Ophthalmology (Licence: PA MT195462) | |
| 207W00000X Ophthalmology (Licence: NM RS2013-0036) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2015-08-26 |