| NPI | 1336639970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI MD19988) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 291901) |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: RI MD19988) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2024-08-08 |