| NPI | 1710043799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 253441) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT187040) |
| 207W00000X Ophthalmology (Licence: NC 2008-01119) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2009-06-24 |