| NPI | 1376707216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL 159804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092755) |
| 207W00000X Ophthalmology (Licence: MO 2012020846) | |
| 207W00000X Ophthalmology (Licence: TN 51915) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2023-05-01 |