| NPI | 1073908976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: CA A144991) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A144991) |
| 207W00000X Ophthalmology (Licence: AZ R75586) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: MI 4301117014) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-03-27 |