| NPI | 1760771281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 266052) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 073639) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2021-04-01 |