| NPI | 1972061570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL PA9111967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL PA9111967) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |