| NPI | 1083024855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: KY TP686) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2018013521) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2023-07-31 |