| NPI | 1205417102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2021-01380) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 2021-01380) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: IA R-12343) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NC 2021-01380) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2023-04-25 |