| NPI | 1902880313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 111416) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 111416) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2021-06-29 |