| NPI | 1346801578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 1014825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4352000982) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2023-08-11 |