| NPI | 1548764947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 96659) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX T6932) |
| 207WX0009X Ophthalmology Glaucoma Specialist (Licence: TX T6932) | |
| 207WX0009X Ophthalmology Glaucoma Specialist (Licence: GA 96659) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-02-12 |