| NPI | 1710257316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 50737) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: KY 50737) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2025-12-01 |