| NPI | 1528420841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: OR MD206175) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301501746) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2021-10-29 |