| NPI | 1821420902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: PR 21106) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AR E-10587) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: TN 56011) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2023-08-04 |