| NPI | 1720407372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 59116) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL HSE26017) |
| 207W00000X Ophthalmology (Licence: TX BP20054251) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-04-24 |