| NPI | 1962907469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME160874) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX T5651) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-05-17 |