| NPI | 1588698120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 223220) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC MD29419) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-12-28 |