| NPI | 1316233034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: GA 82727) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME118882) |
| 207W00000X Ophthalmology (Licence: TX Q9415) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2019-08-06 |