| NPI | 1255328373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD435720) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA07895) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2015-12-01 |