| NPI | 1124384268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101272336) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 282796) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2021-09-16 |