| NPI | 1033791710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61656789) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61656789) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-08-11 |