| NPI | 1659766228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 296944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107164) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-12-09 |