| NPI | 1679955280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ND PT15881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7524) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2019-07-26 |