| NPI | 1942281696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MA 75264) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 75264) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2022-01-21 |