| NPI | 1114488111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA12244500) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 311490) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2024-09-08 |