| NPI | 1023028396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD034243E) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA05469100) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-11-04 |