| NPI | 1215991674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 179768) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 179168) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-04-19 |