| NPI | 1073951240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR DO221362) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX T9701) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2026-05-21 |