| NPI | 1114979853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD064078L) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA07143400) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-06-14 |