| NPI | 1780637256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 244872) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D63313) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-01-04 |