| NPI | 1033538350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A174875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.024251) |
| 207W00000X Ophthalmology (Licence: PA MD464320) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-02-10 |