| NPI | 1699935320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME115732) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 067673) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2016-11-02 |