| NPI | 1649243221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: MA 220298) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 220298) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2021-12-20 |