| NPI | 1902126105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TX Q5407) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA 1700100575) |
| 207W00000X Ophthalmology (Licence: TX Q5407) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2019-02-21 |