| NPI | 1538507157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME135118) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 430110466) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-06-01 |