| NPI | 1326304890 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 53509) | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01087560A) | 
| 207W00000X Ophthalmology (Licence: GA 081424) | |
| 207W00000X Ophthalmology (Licence: MA 265836) | |
| Enumeration Date | 2012-04-09 | 
| Last Update Date | 2022-06-28 |