| NPI | 1629006135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: WA MD00044821) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA 44821) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-01-03 |