| NPI | 1063703734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: AZ 58248) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 58248) |
| 207W00000X Ophthalmology (Licence: IL 036.134613) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2019-06-13 |