| NPI | 1063850808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A155828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102993) |
| 207W00000X Ophthalmology (Licence: FL ME131493) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2020-08-26 |