| NPI | 1104826841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 9500667) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036096119) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036096119) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2022-10-17 |