| NPI | 1316001720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35.092900) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35092900) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD446160) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-05-11 |