| NPI | 1871702654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 61075) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 5101015615) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: GA 61075) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-08-15 |