| NPI | 1821263294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0077605) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA09145300) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2014-11-20 |