| NPI | 1720379316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 191905) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD459666) |
| 207W00000X Ophthalmology (Licence: GA 75772) | |
| 207W00000X Ophthalmology (Licence: TX P9827) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2023-12-18 |