| NPI | 1770977944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 307913-01) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101266894) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-09-11 |