| NPI | 1578852992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 281282) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2015011446) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2019-04-27 |