| NPI | 1316431315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 21521) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 315316) |
| 207W00000X Ophthalmology (Licence: NY 315316) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-07-30 |