| NPI | 1912917394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 177241) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA05894200) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |