| NPI | 1346436391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME MD20246) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD432472) |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2019-08-15 |