| NPI | 1760689277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101245715) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A124712) |
| 207W00000X Ophthalmology (Licence: TX P3080) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: VA 0101245715) | |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: VA 0101245715) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2018-03-20 |