| NPI | 1457924375 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: TX 48024) | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX 48024) | 
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: PA LT000892) | |
| Enumeration Date | 2021-07-19 | 
| Last Update Date | 2023-11-11 |