| NPI | 1811062698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD038915) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 5184743817) |
| 207W00000X Ophthalmology (Licence: VA 0101243097) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-05-02 |