| NPI | 1891105227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 2020-00723) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 209097) |
| 207W00000X Ophthalmology (Licence: NC 2020-00723) | |
| 207R00000X Internal Medicine (Licence: PA MT2064666) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2020-09-24 |