| NPI | 1861954737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0076366) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 1014258) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-11-20 |