| NPI | 1023570850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: MO 2023015179) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2023015179) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-06-06 |