| NPI | 1407931769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME122759) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MT 42851) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-09-02 |