| NPI | 1407432057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A180327) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA Student) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-07-07 |