| NPI | 1508056169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 203284) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: LA 203284) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2021-05-28 |