| NPI | 1255674719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD479184) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101264411) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: DE C1-0024054) | |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: PA MD479184) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DE C1-0024054) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-02-28 |