| NPI | 1982054896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A150727) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267374) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2021-10-20 |