| NPI | 1275037012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX 47837) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX 47526) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-06-28 |