| NPI | 1558465278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2012-00726) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: NC 2012-00726) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-12-20 |