| NPI | 1568495265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD25666) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A84166) |
| 207R00000X Internal Medicine (Licence: OR MD25666) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2014-07-30 |