| NPI | 1801090709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 22554) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA08957800) |
| 207W00000X Ophthalmology (Licence: NY 242598) | |
| 207W00000X Ophthalmology (Licence: MN 58910) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2022-11-09 |