| NPI | 1295867760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME104161) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 57553) |
| 207W00000X Ophthalmology (Licence: NC 2007-00305) | |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2010-02-10 |