| NPI | 1871913467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 85236) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.133248) |
| 208600000X Surgery (Licence: TX BP10050154) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2025-03-18 |