| NPI | 1831140953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A84773) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD429029) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2021-11-30 |