| NPI | 1356882542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 010127736) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 55571) |
| 207W00000X Ophthalmology (Licence: KY TP139) | |
| 207W00000X Ophthalmology (Licence: VA 0101277236) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-03-14 |