| NPI | 1689840803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 101249495) |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: VA 0101249495) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2020-04-24 |