| NPI | 1649464835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 245828) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME 112907) |
| 207W00000X Ophthalmology (Licence: FL ME112907) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2013-09-13 |