| NPI | 1417214370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME MD21159) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ME 680210) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2016-09-07 |