| NPI | 1982047643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 346786) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX R3666) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2026-08-06 |