| NPI | 1659563039 |
|---|---|
| Former Name | MICHELLE KIM LATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ND 11839) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 53855) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2021-11-16 |