| NPI | 1215936836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD426215) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA07917000) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2017-09-26 |