| NPI | 1104579564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MA 1019144) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 1019144) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2024-08-28 |