| NPI | 1740488378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD2022-0402) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NM MD2022-0502) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2022-08-04 |