| NPI | 1013279496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI MD18779) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 34779) |
| 207W00000X Ophthalmology (Licence: FL ME129068) | |
| 208600000X Surgery (Licence: SC LL 34779) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-10-03 |