| NPI | 1386628501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 220431) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 220431) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2021-06-24 |