NPI | 1073076543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME162250) |
Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: FL ME162250) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2024-10-04 |