| NPI | 1477630390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 193672-1) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 193672) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-06-11 |