| NPI | 1881348274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY FL073) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC VYAS-BK9AMC) |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2023-06-20 |