| NPI | 1760779722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: KS 0439896) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 1) |
| 207W00000X Ophthalmology (Licence: AZ 50228) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: AZ 50228) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-02-22 |