| NPI | 1134757065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA12707000) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD490724) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-08-26 |