| NPI | 1134744683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX BP10071300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10071300) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2021-06-25 |