| NPI | 1669792131 |
|---|---|
| Former Name | TAHIRA ANNA MATHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX P9398) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2011015971) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2020-11-27 |