| NPI | 1912226416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 261631) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA08742400) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2025-11-11 |