| NPI | 1598389926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA R-11895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11895) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2022-09-03 |