| NPI | 1093157950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61657747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61657747) |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2025-06-05 |