| NPI | 1598993743 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2013-00568) | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 73424) | 
| Enumeration Date | 2009-06-26 | 
| Last Update Date | 2023-06-08 |