| NPI | 1104814219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX R7094) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: TX R7094) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2021-08-19 |