| NPI | 1134114259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME172916) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 41461) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2025-05-16 |