| NPI | 1144263500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA07415200) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD074038L) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |