| NPI | 1700985827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: KY 27690) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 27690) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-03-17 |