| NPI | 1639962400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA R-13483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-13483) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |