| NPI | 1871792002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD2012-0458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191020) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2023-11-07 |