| NPI | 1659752079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A170452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN22064) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-11-10 |