| NPI | 1053014688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL MFC1962) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL 1883) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2025-11-13 |