| NPI | 1114247343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD454640) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA09709200) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2024-02-06 |