| NPI | 1467416586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA05946600) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD042963L) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2008-03-14 |