| NPI | 1528220878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME120645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01375) |
| 207W00000X Ophthalmology (Licence: MD D74079) | |
| 207W00000X Ophthalmology (Licence: VT 042.0012697) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2015-06-16 |