| NPI | 1245222439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX Q2731) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 025603) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2023-03-23 |