| NPI | 1326045261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: UT 7496716-1205) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 190055-1) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-12-20 |