| NPI | 1164047221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2020017231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020017231) |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2021-06-17 |