| NPI | 1801949342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 026058) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: LA MD.026058) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2019-10-29 |