| NPI | 1073036612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA WA61387239) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: WA WA61387239) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-07-01 |