| NPI | 1780880385 |
|---|---|
| Former Name | NICOLE ESTHER HAUPTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 246724) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: MA 246724) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2018-11-01 |