| NPI | 1205193208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX W1904) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 2017-02592) |
| 207W00000X Ophthalmology (Licence: NC 2017-02592) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TX W1904) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2026-02-24 |