| NPI | 1942689252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 68695) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA R-10240) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MN 68695) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2021-08-04 |