| NPI | 1861245839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY FL087) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD000000) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: WA MD000000) | |
| 208000000X Pediatrics (Licence: WA MD000000) | |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2025-06-23 |