NPI | 1639674641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MA11794700) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA11794700) |
Enumeration Date | 2018-03-30 |
Last Update Date | 2023-04-19 |