| NPI | 1689179293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61410393) |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: WA MD61410393) |
| 207W00000X Ophthalmology (Licence: MA 291489) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-01-03 |