| NPI | 1164510095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MA 156165) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 156165) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-01-15 |