| NPI | 1245619105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101271654) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO TL.0006375) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036.149405) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2021-06-16 |