| NPI | 1255309514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME131719) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX L5710) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TX L5710) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2021-09-09 |