| NPI | 1548728033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 2023011012) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036164218) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2024-08-30 |