| NPI | 1376651257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA08102400) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD448469) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-05-12 |