| NPI | 1730380445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: FL ME101756) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME101756) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2016-06-17 |