| NPI | 1770760340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101269499) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD437365) |
| 207W00000X Ophthalmology (Licence: OH 57-012348) | |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2022-04-13 |