| NPI | 1699035741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: UT 10783553-1204) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 10783553-1204) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2021-11-18 |