| NPI | 1053631705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD54930) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 173236) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2022-03-24 |