| NPI | 1972585933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX H2464) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 18226) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2022-01-24 |