| NPI | 1093716532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD051481L) |
| Additional Taxonomies | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: PA MD051481L) |
| 207W00000X Ophthalmology (Licence: NJ 25MA06190700) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-01-13 |