| NPI | 1700148053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 55739) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX Q7558) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2018-10-09 |