| NPI | 1982099131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OS14112) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: GA 85417) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MN 65044) | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2020-07-10 |