| NPI | 1447205471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: NJ 25MA04721800) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA04721800) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2017-07-09 |