| NPI | 1780017897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A134102) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A134102) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2020-10-20 |