| NPI | 1730349192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME120629) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A123713) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2020-01-28 |