| NPI | 1649613647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A133520) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: OK 33908) |
| 207W00000X Ophthalmology (Licence: IA MD43305) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2022-05-11 |