| NPI | 1790280592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A164468) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX T5565) |
| 207W00000X Ophthalmology (Licence: CA A164468) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-09-04 |