| NPI | 1912296088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 285682) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 125908) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2022-08-11 |