| NPI | 1649330671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 211514) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME85180) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NY 211514) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-08-29 |