| NPI | 1124021498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX L0163) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX L0163) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2017-04-06 |