| NPI | 1720066087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA02607800) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA 026001) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2022-01-25 |