| NPI | 1598995128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: MD D73268) |
| Additional Taxonomies | 174400000X Specialist |
| 207W00000X Ophthalmology (Licence: PA MD053591L) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2023-03-07 |