| NPI | 1770711715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 269131) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 269131) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2025-01-06 |