| NPI | 1407241284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX S1985) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX S1985) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-10-23 |