| NPI | 1992766174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 037958) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 200770-1) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-03-17 |