| NPI | 1821296682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: NC 2013-00711) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD439738) |
| 207W00000X Ophthalmology (Licence: NC 2013-00711) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2025-04-27 |