| NPI | 1376735720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.099154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007012247) |
| 207W00000X Ophthalmology (Licence: NC 2011-00461) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2022-11-30 |