| NPI | 1396796710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VT 0420008600) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 255565-1) |
| 207W00000X Ophthalmology (Licence: NY 25565-1) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-07-21 |