| NPI | 1477848034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101262608) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 63863) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD045246) | |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2024-03-12 |