| NPI | 1528685328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D97670) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: FL TRN30165) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: NC 2022-01656) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2023-10-13 |