| NPI | 1649434796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD474785) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101244113) |
| 207W00000X Ophthalmology (Licence: MA 250672) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101244113) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD474785) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2022-09-06 |