| NPI | 1144517814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME124489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL33874) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2015-06-12 |