| NPI | 1952692410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60718159) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: WA MD60718159) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2023-08-21 |