| NPI | 1326459629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 04-49152) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2024017005) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: KS 04-49152) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 2024017005) | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2024-05-23 |