| NPI | 1104266097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 006160) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 294036) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-03-31 |