| NPI | 1750797213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 59595) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 292324) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 292324-1) | |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2020-08-21 |