| NPI | 1639468960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101270652) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD046124) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD046124) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101270652) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2021-09-15 |