| NPI | 1508940628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA C143101) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C143103) |
| 207W00000X Ophthalmology (Licence: TN MD29499) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-21 |