| NPI | 1801878855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 22444) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NE 22444) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-03-01 |