| NPI | 1386099695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MA11061000) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 303614) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-05-21 |