| NPI | 1326337239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 267513) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A150766) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 267513) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2023-07-17 |