| NPI | 1164091039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.148896) |
| Additional Taxonomies | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: NC 2021-01549) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-09-06 |