| NPI | 1760683288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 048767) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 248331) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-03-22 |