| NPI | 1215927702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME63389) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME63389) |
| 208D00000X General Practice (Licence: MO 107827) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-11-06 |