| NPI | 1861542532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI MD13803) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT188093) |
| 207W00000X Ophthalmology (Licence: MD D70263) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-01-27 |