| NPI | 1700861762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD040414E) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 291313) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2018-12-21 |