| NPI | 1215143797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301083642) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 258069) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: MI 4301083642) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2025-02-25 |