| NPI | 1235592361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX U6002) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A171814) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A171814) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TX U6002) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-09-26 |