| NPI | 1265516355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA08634200) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 237972) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-03-17 |