| NPI | 1629838172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 100932-851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 100932-851) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-06-10 |