| NPI | 1275845331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: CT 55552) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 55552) |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 2844671) | |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2023-03-22 |