| NPI | 1457321705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA05122100) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD042086L) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2015-06-03 |