| NPI | 1952964124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2023-02890) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: UT 13255686-1205) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-12-13 |