| NPI | 1861481228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 76415) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MN 76415) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-07-30 |