| 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 | 2025-07-14 |