| NPI | 1346458056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY MD136583) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: HI MD8423) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |