| NPI | 1841689148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD039843E) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 19540) |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2015-01-10 |