| NPI | 1932467198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 10408387-1205) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD214276) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2026-02-06 |