| NPI | 1275704405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101277802) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WV 32356) |
| 207W00000X Ophthalmology (Licence: VA 0101277802) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: WV 32356) | |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2025-06-13 |