| 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 |