| NPI | 1043478399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 56750) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD439413) |
| 207W00000X Ophthalmology (Licence: NY 241156) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-02-01 |