| NPI | 1255759783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35136162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 1255759783) |
| 207W00000X Ophthalmology (Licence: NM RS2017-0544) | |
| 207W00000X Ophthalmology (Licence: MA 259186) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2019-07-24 |