| NPI | 1669782124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A115886) |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: CA A115886) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2019-07-18 |