| NPI | 1376616011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX N6637) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX N6637) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2024-01-03 |