| NPI | 1376717041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX P4942) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 243276) |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: TX P4942) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2023-08-15 |