| NPI | 1376958660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 300727) |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: NY 300727) |
| 207WX0009X Ophthalmology Glaucoma Specialist (Licence: CA 156666) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-09-21 |