| NPI | 1164749768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: WA MD60589607) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD60589607) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2018-09-18 |