| NPI | 1992169320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0088916) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT211446) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-10-08 |