| NPI | 1487699625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME80157) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME80157) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2017-05-04 |