| NPI | 1053303362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 99102474A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301109210) |
| 207W00000X Ophthalmology (Licence: OH 128264) | |
| 207W00000X Ophthalmology (Licence: WI 52490-20) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 128264) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301109210) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2023-07-13 |