| NPI | 1245552447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 310907) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD457594) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TX S3109) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2021-07-12 |