| NPI | 1306402359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA TBD) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 250194) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2023-03-27 |