| NPI | 1881603884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 249679) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 227799) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2016-08-12 |