| NPI | 1588842017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301102310) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD P24456) |
| 207R00000X Internal Medicine (Licence: MI 4301102310) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2013-07-31 |