| NPI | 1750956017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 103977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL85704) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-04-09 |