| NPI | 1629539788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: PA MD481062) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD481062) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-06-09 |