| NPI | 1588058721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A172035) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 285635) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2021-06-30 |