| NPI | 1982041372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ R74042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R74042) |
| Enumeration Date | 2013-05-27 |
| Last Update Date | 2021-11-12 |