| NPI | 1629212683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101263985) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX P7167) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2022-06-01 |