| NPI | 1538699350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 2017019505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017019505) |
| 207W00000X Ophthalmology (Licence: MO 2017019505) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-08-02 |