| NPI | 1336148410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: PA MD416985) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD416985) |
| 207W00000X Ophthalmology (Licence: NJ 25MA07455900) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-07-28 |