| NPI | 1588637649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: AL 21889) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 21889) |
| 207W00000X Ophthalmology (Licence: FL ME 67099) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2017-09-01 |