| NPI | 1912990631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 48717) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX L9688) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2022-03-25 |