| NPI | 1316240690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME133847) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 266109) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2018-07-27 |