| NPI | 1104016484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AR E8276) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX N3373) |
| 207W00000X Ophthalmology (Licence: MO 2010011180) | |
| 207W00000X Ophthalmology (Licence: OH 57-010081) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-09-30 |