| NPI | 1720228562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 252183) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA09067200) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2012-05-03 |