| NPI | 1205221652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: FL ME153192) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX S0667) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2022-08-03 |