| NPI | 1497119093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2020019646) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 63096) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: AZ 63096) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2021-05-13 |