| NPI | 1821293523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0058307) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX M6523) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2022-12-30 |