| NPI | 1508868498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD031968E) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA04606000) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-01-13 |