NPI | 1740644012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA11568600) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD479442) |
207W00000X Ophthalmology (Licence: MA 282769) | |
Enumeration Date | 2016-04-12 |
Last Update Date | 2024-05-15 |