| NPI | 1508062118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 244649) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A77573) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-11-23 |