| NPI | 1164670980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: PR 15390) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D68147) |
| 207W00000X Ophthalmology (Licence: PR 15390) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2023-09-08 |