| NPI | 1740275841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: MN 65267) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA MD-44203) |
| 207W00000X Ophthalmology (Licence: NE 21427) | |
| 207W00000X Ophthalmology (Licence: MN 65267) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2022-07-21 |