| NPI | 1326019241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA07695200) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY NY220571) |
| 207W00000X Ophthalmology (Licence: VA 0101243040) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-04-28 |