| NPI | 1073890257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101284227) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT198652) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2025-08-07 |