| NPI | 1669560041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A65668) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A65668) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-01-08 |