| NPI | 1134122633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: AZ 64149) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A66761) |
| 207W00000X Ophthalmology (Licence: AZ 64149) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A66761) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2021-08-03 |