| NPI | 1174905202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA11374900) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 298933-1) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2024-11-27 |