| NPI | 1497118830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 22101) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA10745100) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2022-06-20 |