| NPI | 1871170183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MO 2025040954) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2025040954) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-11-05 |