| NPI | 1134567498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-44259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9703) |
| 207W00000X Ophthalmology (Licence: IA R-9703) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2022-07-21 |