| NPI | 1386651339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA07578700) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 220593-1) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2008-11-19 |