| NPI | 1679562821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 200777) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA72439) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-04-25 |