| NPI | 1174796890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 248784) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD440446) |
| 207W00000X Ophthalmology (Licence: NY 248784) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2021-03-07 |