| NPI | 1568462042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 210490) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 042801) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2021-02-26 |