| NPI | 1104145192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: LA MD.207066) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 207066) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2025-08-18 |