| NPI | 1073977492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 69784) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MN 69784) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2021-11-05 |