| NPI | 1255495651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 231460) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 231460) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2024-07-11 |