| NPI | 1124327671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2015013273) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: KS 04-39844) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MO 2015013273) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2020-06-22 |