| NPI | 1386256782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: PA LT000849) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA LT000849) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |