| NPI | 1427066125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: OH 35138200) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35138200) |
| 207W00000X Ophthalmology (Licence: MI 4301063479) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-01-14 |