| NPI | 1861888539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 279200) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 279200) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2020-05-07 |