| NPI | 1558378307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX H0293) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX H0293) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: TX H0293) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2024-05-14 |