| NPI | 1710257316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 50737) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 23781) |
| 207W00000X Ophthalmology (Licence: TN 52580) | |
| 207W00000X Ophthalmology (Licence: AR E9162) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: MS 23781) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: TN 52580) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: KY 50737) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: AR E9162) | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2021-10-25 |