| NPI | 1538346093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 64469) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 261778) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2018-03-17 |