| NPI | 1003007816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D70515) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 245090) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2011-11-29 |