| NPI | 1518173079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101241432) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 240173) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-03-23 |