| NPI | 1972705069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 343287) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD438077) |
| 207W00000X Ophthalmology (Licence: NY NY277202) | |
| 207W00000X Ophthalmology (Licence: WV 23808) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-08-02 |