| NPI | 1104974864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA08568300) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 236720) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MA08568300) | |
| 207W00000X Ophthalmology (Licence: PA MD433749) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2017-04-24 |