| NPI | 1033007570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: KY FL084) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY FL084) |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-08-25 |