| NPI | 1518017276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD442120) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101246969) |
| 207W00000X Ophthalmology (Licence: OH 35-125008) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2024-04-30 |