NPI | 1811251820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OR MD186970) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD186970) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2025-07-16 |