| NPI | 1104944859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 248819) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA08608600) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-03-17 |