| NPI | 1306376462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301515997) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX S9591) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2026-08-17 |