| NPI | 1366972945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 24467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272677) |
| 207W00000X Ophthalmology (Licence: CA A173232) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-01-04 |