| NPI | 1962619304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 35401) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX N9135) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: SC 35401) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-01-14 |