| NPI | 1104137728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301116895) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD456953) |
| 207W00000X Ophthalmology (Licence: NY 002577) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD456953) | |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: PA MD456953) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2019-07-19 |