| NPI | 1912273830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: CT 56606) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD457170) |
| 207W00000X Ophthalmology (Licence: CT 56606) | |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2022-01-12 |