| NPI | 1306843404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA05176800) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD041408E) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: PA MD041408E) | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NJ 25MA05176800) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2021-04-12 |