| NPI | 1689013666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX R3583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73923) |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2019-08-21 |