| NPI | 1619287596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD457228) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 283897) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2021-02-26 |