| NPI | 1225296585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA 60293871) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 237665) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2015-04-07 |