| NPI | 1649215245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD428282) |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: PA MD428282) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-09-02 |