| NPI | 1609187046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD449437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244388) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2020-02-04 |