| NPI | 1114217551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: FL ME109606) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME 109606) |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: FL ME109606) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2022-07-21 |