| NPI | 1639580194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OR MD208212) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD208212) |
| 207W00000X Ophthalmology (Licence: WA MD60943957) | |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2023-07-18 |