| NPI | 1023454410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 53632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73857) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-07-21 |