| NPI | 1679531123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX L0804) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L0804) |
| 207W00000X Ophthalmology (Licence: TX Lo804) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-07-04 |