| NPI | 1508125089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX R2944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044147) |
| 207W00000X Ophthalmology (Licence: MI 4301109301) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2018-08-15 |