| NPI | 1609286905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: OH 35.143931) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 57.022371) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2022-03-22 |