| NPI | 1063621357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 248144) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA cf6130) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-02-24 |