| NPI | 1750714879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX S2195) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX S2195) |
| 207W00000X Ophthalmology (Licence: CA A149302) | |
| 207W00000X Ophthalmology (Licence: WI 62927) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2024-04-10 |