| NPI | 1972777936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 260860) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME113918) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2025-03-12 |