| NPI | 1679914212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 36094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL36094) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2025-08-07 |