| NPI | 1811218332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD454366) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA09688200) |
| 207W00000X Ophthalmology (Licence: FL ME119151) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MA09688200) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: PA MD454366) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2020-11-03 |