| NPI | 1811910581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD437982) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME87870) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-04-07 |