| NPI | 1861782781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD043161) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0079313) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2023-01-13 |