| NPI | 1518303908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 04-40121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9408103) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-02-23 |