| NPI | 1780882670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 261390) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2012014709) |
| 207W00000X Ophthalmology (Licence: KS 04-35741) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-12-09 |