| NPI | 1154591964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101247450) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: DE C1-0009435) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: MI 4301091523) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: MD D0070735) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: VA 0101247450) | |
| 207W00000X Ophthalmology (Licence: MI 4301091523) | |
| 207W00000X Ophthalmology (Licence: MD D0070735) | |
| 207W00000X Ophthalmology (Licence: DE C1-0009435) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2020-09-28 |