| NPI | 1598387516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 85634) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA 220211) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2025-10-27 |