| NPI | 1154777969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX T4830) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX T4830) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2022-03-10 |