| NPI | 1275287195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: NY 317286) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 317286) |
| 207W00000X Ophthalmology (Licence: NY 317286) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 114107-01) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-09-07 |