| NPI | 1558725697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX S5502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016022955) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TX S5502) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2022-09-08 |