| NPI | 1174718456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0071930) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD039183) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101249358) | |
| 207W00000X Ophthalmology (Licence: MD D0071930) | |
| 207W00000X Ophthalmology (Licence: DC MD039183) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2022-07-21 |