| NPI | 1962799924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: KS 0438922) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 04-38922) |
| 207W00000X Ophthalmology (Licence: MO 2015018663) | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: MO 2015018663) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2024-08-13 |