| NPI | 1528356110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME142745) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 58725) |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2019-11-14 |