| NPI | 1154785863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CO DR.0065005) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO DR0065005) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-04-26 |