| NPI | 1467652891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301090689) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 260860-1) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2019-04-17 |