| NPI | 1699194902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MS 26835) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 85725) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2026-07-13 |