| NPI | 1912985904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 178565) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 178565-1) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2019-08-06 |