| NPI | 1972733608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD20130234) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT192955) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2023-11-01 |