| NPI | 1568439255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 183264) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA06039900) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2021-01-15 |