| NPI | 1013921030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 249085) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2006-00368) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-03-06 |