| NPI | 1508992223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A51986) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX L4779) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-09-21 |