| NPI | 1083841704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: AZ 55265) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY TP099) |
| 207W00000X Ophthalmology (Licence: AZ 55265) | |
| 207W00000X Ophthalmology (Licence: OH 35121199) | |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2019-04-30 |