| NPI | 1952399297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: MI 4301063145) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301063145) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2022-07-21 |