| NPI | 1396236220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: MO 2024021909) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: MO 036169889) |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2024-07-09 |