| NPI | 1043873128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OK 46932) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 322431) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2026-04-22 |