| NPI | 1619235843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MA10036900) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD457956) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT201061) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2018-04-03 |