| NPI | 1891057568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-140102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73181) |
| 207W00000X Ophthalmology (Licence: MN 107065) | |
| 207W00000X Ophthalmology (Licence: MN 56791) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2021-01-22 |