| NPI | 1093824450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301115780) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD00034777) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-08-20 |