| NPI | 1245282524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 241552) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35-82944) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-04-26 |