| NPI | 1346745775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 75075) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD477351) |
| 207W00000X Ophthalmology (Licence: NY 323382) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 323382) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: CT 75075) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-07-07 |