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 |