| NPI | 1275912347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2022008806) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX BP10062754) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2024-03-04 |