| NPI | 1912904467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35069885) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301057520) |
| 207W00000X Ophthalmology (Licence: OH 35069885) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301057520) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2018-12-04 |