| NPI | 1316333974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX U1223) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NM MD-2021-0727) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-08-03 |