| NPI | 1881698645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME131063) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 200000480) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2018-03-17 |