| NPI | 1720318710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 40826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ AZ16525451919) |
| 207W00000X Ophthalmology (Licence: AZ AZ16525451919) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2013-06-27 |