| NPI | 1568922128 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 70997) | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 1014560) | 
| Enumeration Date | 2019-03-20 | 
| Last Update Date | 2024-06-17 |