| NPI | 1770769952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0069400) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME 103450) |
| 207W00000X Ophthalmology (Licence: TX N2225) | |
| 207W00000X Ophthalmology (Licence: PA MD43867) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2010-09-30 |