| NPI | 1629757117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: TX BP10087030) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL 38633) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2024-05-22 |