| 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 | 2025-05-06 |