| NPI | 1629640412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 326236) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL 32605) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2023-10-11 |