| NPI | 1346351368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME102930) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO R8966) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-04-20 |