| NPI | 1003019092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX P0832) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 243348) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-03-07 |