| NPI | 1316037369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 176461) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 176461) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-12-14 |