| NPI | 1225428980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 2020017646) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY R3928) |
| 207W00000X Ophthalmology (Licence: KY FL043) | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2021-01-25 |