| NPI | 1639669955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX BP10064493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10064493) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2019-06-27 |