| NPI | 1568967099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 315517) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: CT 76901) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-11-16 |