| NPI | 1902283559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX S1164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10053974) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2019-04-26 |