| NPI | 1548853443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CO DR.0074905) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 72127) |
| 207W00000X Ophthalmology (Licence: MN 31519) | |
| 207W00000X Ophthalmology (Licence: CO DR.0074905) | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2025-07-01 |