| NPI | 1811346414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 292078) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD469774) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-09-16 |