| NPI | 1790040087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A153884) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.060927) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2022-03-04 |