| NPI | 1780038075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NY 309308) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD470127) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2021-09-19 |