| NPI | 1689695363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 231753) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 232600) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-08-10 |