| NPI | 1659578623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61238685) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL MFC1722) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: WA MD61238685) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-02-18 |