| NPI | 1235388679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD040362) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A103452) |
| 207W00000X Ophthalmology (Licence: DC MD040362) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D073928) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101251552) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2019-04-09 |