| NPI | 1225395403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 69247) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME128136) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2018-06-12 |