| NPI | 1568469625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CO 0043378) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 43378) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-03-11 |