| NPI | 1316142979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME154830) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 241933) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-10-20 |