| NPI | 1770659005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA09550000) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0063146) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-02-24 |