| NPI | 1649539404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: CA A127421) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 266190) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2018-10-03 |