| NPI | 1790718245 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD436479) | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 233958) | 
| Enumeration Date | 2006-07-08 | 
| Last Update Date | 2011-09-27 |