| NPI | 1174902456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX S6407) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 10094255-1205) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: TX S6407) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2022-02-08 |