| NPI | 1063947612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2022-01256) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 94171) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CO DR.0065831) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2025-06-09 |