| NPI | 1295937183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: AL MD32487) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL MD32487) |
| 207W00000X Ophthalmology (Licence: MS 22736) | |
| 207W00000X Ophthalmology (Licence: CA A107674) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MS 22736) | |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2018-02-21 |