| NPI | 1184722936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME130571) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 58213) |
| 207W00000X Ophthalmology (Licence: GA 58213) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-07-21 |