| NPI | 1982648226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA md428749) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA MD428749) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-11-06 |