| NPI | 1881868370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: WA 60181307) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA 60181307) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2018-04-04 |