| NPI | 1275574287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: KY 48034) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 46343) |
| 207W00000X Ophthalmology (Licence: KY 48034) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-08-22 |