| NPI | 1811251820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OR MD186970) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301108992) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: OR 60844968) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2020-04-09 |