| NPI | 1205032265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA08773700) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD448967) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2016-08-08 |