| NPI | 1194780825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MA 74280) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 74280) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2017-06-27 |