| NPI | 1881348274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD490991) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101282686) |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2025-11-10 |