| NPI | 1659799773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 92574) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.135790) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 0000063076) | |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2022-09-29 |