| NPI | 1639597347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0089496) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 57331) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-09-21 |