| NPI | 1508842634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 47248) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: MA 47248) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2022-01-03 |