| NPI | 1588382402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 71249) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MN 71249) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-01-19 |