NPI | 1114345147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 298230-01) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL 135488) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2019-12-09 |