| NPI | 1871702340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: VA 0101251317) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 43190) |
| 207W00000X Ophthalmology (Licence: VA 0101251317) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-05-31 |