| NPI | 1609219021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61404207) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: WA MD61404207) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2023-09-21 |