| NPI | 1629029079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OR MD16026) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD16026) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-12-12 |