| NPI | 1255539144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 246914) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA08741700) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2012-04-03 |