| NPI | 1063903003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A177825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76834) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2022-06-29 |