| NPI | 1013204163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 73867) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D79459) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TX R6363) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2021-02-08 |