| NPI | 1669430666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 226151) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA07890300) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-10-15 |