| NPI | 1003034034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA08373200) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD441470) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2017-10-24 |