| NPI | 1780887216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D74786) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 20983) |
| 207W00000X Ophthalmology (Licence: FL ME109264) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2019-05-28 |