| NPI | 1780684902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 151) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VT 042.0014908) |
| 207W00000X Ophthalmology (Licence: NY 213367) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-11-11 |