| NPI | 1124093059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 54232) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 251101) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CT 54232) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-11-03 |