| NPI | 1588040844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 2017-01497) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0080073) |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2021-04-02 |