| NPI | 1497758791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 212433) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 212433) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-07-07 |