| NPI | 1144516121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 262475) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 283530) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2023-10-16 |