| NPI | 1982604286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD066801L) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 010105596) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-10-15 |