| NPI | 1720216765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: OR MD169694) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 241283) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2018-03-17 |