| NPI | 1265751820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 261932) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME123004) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 261932) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2023-03-27 |