| NPI | 1992737753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 150998-1) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME62873) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-08-18 |