| NPI | 1255334637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: WY 6531A) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WY 6531A) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2019-01-24 |