| NPI | 1013065770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 44792) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 252324) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-01-24 |