| NPI | 1629419031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 71154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063512) |
| 207W00000X Ophthalmology (Licence: MN 59648) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MN 59648) | |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2022-06-06 |