| NPI | 1932364817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 232709) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 247442) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2024-04-09 |