| NPI | 1003378761 |
|---|---|
| Former Name | KATHERINE SUMARRIVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2024-02666) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SD 14539) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-11-18 |