| NPI | 1871015602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: CO DR.0073031) |
| Additional Taxonomies | 246ZA2600X Specialist/Technologist, Other Art, Medical |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2024-05-28 |