| NPI | 1538324694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD 60237624) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME117600) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2016-12-09 |