| NPI | 1790071207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0060692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248406) |
| 207W00000X Ophthalmology (Licence: MA 261699) | |
| 207W00000X Ophthalmology (Licence: NM RS20140731) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-01-10 |