| NPI | 1184884017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0055896) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 265900) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2015-10-23 |