| NPI | 1730359100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 243192) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 267568) |
| Enumeration Date | 2008-03-02 |
| Last Update Date | 2022-05-02 |