| NPI | 1033484159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 266016) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: MA 266016) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2018-11-01 |