| NPI | 1013934744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL MFC1832) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 75.000007) |
| 207W00000X Ophthalmology (Licence: MD D48435) | |
| 207W00000X Ophthalmology (Licence: OH 81-000108) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-09-03 |