| NPI | 1407276769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX W2962) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 37806) |
| 207W00000X Ophthalmology (Licence: GA 7482) | |
| 207R00000X Internal Medicine (Licence: PA MT206038) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2026-08-06 |