| NPI | 1811150576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 2011-0050) |
| Additional Taxonomies | 174400000X Specialist |
| 207W00000X Ophthalmology (Licence: NC 2011-0050) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-12-09 |