| NPI | 1699269787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 21425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21425) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2025-09-23 |