| NPI | 1679557250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MI 4301069895) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301069895) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2023-08-17 |