| NPI | 1922460195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: OR MD203339) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD203339) |
| 207W00000X Ophthalmology (Licence: MI 4301502157) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2022-08-05 |