| NPI | 1386625044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: CO 43717) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 43717) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2022-07-12 |