| NPI | 1659993897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX BP10071284) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 72494) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2024-07-27 |