| NPI | 1568687374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A97120) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: CA A97120) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-07-11 |