| NPI | 1306228515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 286348) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 264380) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2020-02-12 |