| NPI | 1750792552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D84847) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD459478) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-07-21 |