| NPI | 1265571459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD034232E) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA55275) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2021-10-05 |