| NPI | 1922459817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: MA 291440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267333) |
| 207W00000X Ophthalmology (Licence: NY 302907) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 302907) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-01-10 |