| NPI | 1568826741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NC 2021-02029) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 85136) |
| 207W00000X Ophthalmology (Licence: GA 008596) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2021-07-22 |