| NPI | 1568726222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NV 18241) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2016009672) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2019-12-05 |