| NPI | 1770791725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 073351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190481) |
| 207W00000X Ophthalmology (Licence: TX N9446) | |
| 207W00000X Ophthalmology (Licence: DC MT784108) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-01-14 |