| NPI | 1588976245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036128847) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 250921-1) |
| 207W00000X Ophthalmology (Licence: MI 5101018547) | |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2013-12-20 |