| NPI | 1639706773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A186408) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301511016) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: MI 4301511016) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-10-14 |