| NPI | 1346400421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 249155) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 255848) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2016-01-13 |