| NPI | 1649831694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 1649831694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA FS2328222-60) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2020-07-31 |