| NPI | 1346652534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD464515) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA10375300) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-07-17 |