| NPI | 1023297892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 257467) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 257467) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2017-12-05 |