| NPI | 1659404366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NJ 25MA07697000) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 202911) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |