| NPI | 1811382393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 61002) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301117032) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 61002) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-10-31 |