| NPI | 1780673137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD050661L) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA06068600) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2018-05-17 |