| NPI | 1326083866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 28626) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35054944) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35054944) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2022-04-12 |