NPI | 1417483447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA11549700) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213116) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2022-10-19 |