| NPI | 1053870105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX U9200) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD480319) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-05-17 |