| NPI | 1568652790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD431683) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 248646) |
| 207W00000X Ophthalmology (Licence: FL ME114554) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2023-02-20 |