| NPI | 1114951506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: AZ 52811) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 52811) |
| 207W00000X Ophthalmology (Licence: MI 4301055805) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-02-26 |