| NPI | 1811239940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 308043) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA MD-44240) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2018-07-30 |