| NPI | 1679983548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 52563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050817) |
| 207W00000X Ophthalmology (Licence: TX BP20054828) | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2019-07-30 |