| NPI | 1215143797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301083642) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 258069) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-07-21 |