| NPI | 1700206828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 297943) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 207W00000X) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2020-10-07 |