| NPI | 1861832768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME127701) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 271909) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-12-17 |