| NPI | 1780949545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301507901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252783) |
| 207W00000X Ophthalmology (Licence: NM RS2015-0468) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2022-10-21 |