| NPI | 1124382056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD2017-0899) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NM MD2017-0899) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-10-22 |