| NPI | 1073950119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME131636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN19048) |
| 207W00000X Ophthalmology (Licence: CA A150770) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2020-07-21 |