| NPI | 1770326076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 16500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 16500) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |