| NPI | 1407017742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 52796) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CT 52796) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-11-03 |