NPI | 1548586522 |
---|---|
Former Name | JACQUELINE GOLDBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA12211800) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD473650) |
Enumeration Date | 2010-04-15 |
Last Update Date | 2024-06-03 |