| NPI | 1629360458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D091571) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: HI MD19320) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TX V9015) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NM MD2025-0219) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2025-07-16 |