| NPI | 1336704410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: AZ 73176) |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: KY 55612) |
| 207WX0009X Ophthalmology Glaucoma Specialist (Licence: NY 297355) | |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2024-05-24 |