| NPI | 1649407883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 47164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R71499) |
| 207W00000X Ophthalmology (Licence: FL ME115266) | |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: AZ 47164) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2018-06-12 |