| NPI | 1760094643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD2025-1123) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX W2383) |
| 183500000X Pharmacist (Licence: TX 60689) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2026-07-28 |