| NPI | 1982898409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A103063) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD448260) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 287240) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD448260) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2018-11-16 |