| NPI | 1689624173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 218774) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA07246700) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-09-30 |