| NPI | 1790307551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: VA 0101273137) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4352000994) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2021-10-25 |