| NPI | 1982600367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA07481400) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD0425464) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2023-04-24 |