| NPI | 1972684306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL 106275) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 239439) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-07-22 |