| NPI | 1699980151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD431740) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 243899-1) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2021-04-15 |