| NPI | 1669473732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 31408) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME105592) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2012-09-19 |