| NPI | 1902004674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD438834) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA08507300) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: PA MD438834) | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NJ 25MA08507300) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-04-21 |