| NPI | 1386794576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 318455) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA06926700) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-01-26 |