| NPI | 1649243593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD419851) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA07628600) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2011-07-18 |