| NPI | 1700204088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX V5522) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: SD 13014) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2025-02-03 |