| NPI | 1871820837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CO 0056814) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 0056814) |
| 207W00000X Ophthalmology (Licence: NM MD2016-0574) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NM MD2016-0574) | |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2025-01-24 |