| NPI | 1992952865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101268706) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 35272) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2026-09-04 |