| NPI | 1639303118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA C145657) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 254349) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2018-07-06 |