| NPI | 1649565920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: CA 142841) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 142841) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2019-11-15 |