| NPI | 1740031624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: TX 48235) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX 48235) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-06-26 |