| NPI | 1114216249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA C171723) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 268709) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2021-10-28 |