| NPI | 1164749297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME 114070) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 39389) |
| 207W00000X Ophthalmology (Licence: IL 036.124959) | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: FL ME114070) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2022-07-13 |