| NPI | 1366437964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME139041) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC 4554) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-04-11 |