| NPI | 1114595147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35.153864) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.153864) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-07-15 |