| NPI | 1609213719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MA 275339) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 275339) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2019-10-02 |