| NPI | 1407830896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0084908) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL 24945) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2012-04-18 |