| NPI | 1205295359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX T2142) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2020020183) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2022-06-15 |