| NPI | 1053588632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 250837) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 234819) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2021-12-06 |