| NPI | 1912492836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD477084) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: PA MD477084) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MA11895600) | |
| 207W00000X Ophthalmology (Licence: NJ 25MA11895600) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-06-15 |