| NPI | 1023058617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX N0511) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PR 11393) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-03-07 |