| NPI | 1629333018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 00283075) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA OT014547) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2019-02-19 |