| NPI | 1194344911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101281399) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD500002840) |
| 207W00000X Ophthalmology (Licence: MD D0099859) | |
| 207W00000X Ophthalmology (Licence: TX 207WX0200X) | |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2024-07-01 |