| NPI | 1275914699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D91503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-263967) |
| 207W00000X Ophthalmology (Licence: NC 2019-00606) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 2019-00606) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-08-16 |