| NPI | 1750501029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX P1609) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT186339) |
| 207W00000X Ophthalmology (Licence: CO 46696) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2023-11-06 |