| NPI | 1104579564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: PA 00000000) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA 0000000) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-06-05 |