| NPI | 1396948964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 244436) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: NY 0244436) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2022-03-31 |