| NPI | 1306804273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 68123) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX J2567) |
| 207W00000X Ophthalmology (Licence: LA MD.020017) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2025-02-27 |