| NPI | 1891841920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 147391) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 47783) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-07-08 |