| NPI | 1932334968 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME123046) | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX BP1-0035474) | 
| 207W00000X Ophthalmology (Licence: GA 069445) | |
| Enumeration Date | 2009-05-19 | 
| Last Update Date | 2024-06-12 |