| NPI | 1902004401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE C1-0010418) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA09253600) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA09253600) | |
| 207W00000X Ophthalmology (Licence: PA MD447828) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD447828) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DE C1-0010418) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2019-05-06 |