| NPI | 1548527047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX R4308) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2016010888) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-02-22 |