| NPI | 1336378736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA09652200) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 258811-1) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA09652200) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 258811-1) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2017-03-30 |