| NPI | 1073603072 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 217221)  | 
| Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: MA 217221)  | 
| Enumeration Date | 2006-10-13 | 
| Last Update Date | 2025-03-10 |