| NPI | 1578774303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.138633) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 249479) |
| 207W00000X Ophthalmology (Licence: VA 0101247212) | |
| 207W00000X Ophthalmology (Licence: MI 4301087957) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IL 036138633) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-02-19 |