| NPI | 1275760092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2020-00804) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 48185) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: KY 48185) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 259127) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2023-12-14 |