| NPI | 1790719227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 182871) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 32988) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-06-01 |