| NPI | 1417585936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 13846538-1205) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: UT 13846538-1205) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-09-12 |