| NPI | 1144754623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A179153) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 57.029367) |
| 207W00000X Ophthalmology (Licence: FL ME150084) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2022-08-30 |