NPI | 1023402260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA11022100) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD466729) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2022-06-08 |