| NPI | 1972764801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD040967) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: RI MD14959) |
| 207W00000X Ophthalmology (Licence: MD D74797) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: DC MD040967) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2022-12-08 |