| NPI | 1679983894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: OH 35130890) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35130890) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2021-01-29 |