| NPI | 1588337653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX V9927) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD472980) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2025-10-01 |