| NPI | 1225558455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME149453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271068) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2021-07-21 |