| NPI | 1922054394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 225250) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME122290) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-11-26 |