| NPI | 1033304779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 234725) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25M07927500) |
| 207W00000X Ophthalmology (Licence: FL ME97652) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-25 |