| NPI | 1659802387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A186915) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 309183) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-07-05 |