| NPI | 1467643106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: CO 47773) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 47773) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2017-03-30 |