| NPI | 1982967998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX S9209) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 79681) |
| 207W00000X Ophthalmology (Licence: MI 4301101141) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: GA 79681) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301101141) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TX S9209) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2024-08-21 |