| NPI | 1679804876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 64124) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX BP20029884) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2024-03-04 |