| NPI | 1245763747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: KY 53156) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY FL050) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: KY FL050) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2019-10-01 |