| NPI | 1225112634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OS12688) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: FL OS12688) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-01-14 |