| 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 |