| NPI | 1609079367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX P2782) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX p2782) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2017-03-29 |