| NPI | 1184970220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: LA 309345) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD458356) |
| 207W00000X Ophthalmology (Licence: LA 309345) | |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2021-11-08 |