| NPI | 1689921363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 142855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 253044) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2022-08-11 |