| NPI | 1821450578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.155958) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA10813700) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-12-19 |