| NPI | 1851771497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A147131) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 298489) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2019-12-17 |