| NPI | 1558364430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 221901) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 221901) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-09-30 |