| NPI | 1760440390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME121244) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PR 12817) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-09-06 |