| NPI | 1871974139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD470993) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA MD-45978) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IA MD-45978) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2020-11-18 |