| NPI | 1518386663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A170934) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 293667) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-03-15 |