| NPI | 1639513211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX S3306) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 274543) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2022-10-07 |