| NPI | 1770112476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 69555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30751) |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2021-07-13 |