| NPI | 1235110719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX J4298) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX J4298) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2022-06-02 |