| NPI | 1003819905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA06440500) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA64405) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2025-08-01 |