| NPI | 1457646937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: LA MD.207706) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA MD.207706) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2020-01-15 |