| NPI | 1922087774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD061854L) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA06597600) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-04-21 |