| NPI | 1114997137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CT 32548) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 032548) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2017-04-05 |