| NPI | 1336636554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 80183) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 81526) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: WI 81526) | |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: MN 80183) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2025-08-29 |