| NPI | 1215981584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 11386) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: NV 11386) |
| 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: NV 11386) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-10-09 |