| NPI | 1134105455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101226841) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: VA 0101226841) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2017-07-06 |