| NPI | 1891105227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: VA 0101273497) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: WV 32160) |
| 207W00000X Ophthalmology (Licence: VA 0101273497) | |
| 207W00000X Ophthalmology (Licence: WV 32160) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2025-06-12 |