| NPI | 1750581781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MS 21634) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME 107256) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2011-12-19 |