| NPI | 1083617419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 078373) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 212911) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2018-08-29 |