| NPI | 1366850331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME135465) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA a138519) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2018-08-01 |