| NPI | 1659578698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX Q1948) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A107345) |
| 207W00000X Ophthalmology (Licence: FL ME144002) | |
| 207W00000X Ophthalmology (Licence: NV 25920) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2025-04-04 |