| NPI | 1992861975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD431422) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT182751) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2011-03-03 |