| NPI | 1639631757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MA 1019526) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 1019526) |
| 207W00000X Ophthalmology (Licence: OR MD215071) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2024-07-16 |