| NPI | 1639387509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: KY 4151) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 41751) |
| 207W00000X Ophthalmology (Licence: AL 26852) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-03-17 |