| NPI | 1326395088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 274338) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: RI MD166992) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2021-10-20 |